Chronic Care for
Diabetes/HTN
presentation -ANSWER✅✅✅polydypsia, polyuria, polyphagia
unexplained weight loss
nonrx therapies -ANSWER✅✅✅monitoring, hypoglycemic treatment, medical nutrition
therapy (MNT), eye care, dental care, skin care, foot care, medication adherence, sick
day management, insulin therapy, tobacco cessation, immunizations
glycemic index % -ANSWER✅✅✅how much a carb will increase blood glucose
medical nutrition therapy (MNT) -ANSWER✅✅✅
hypoglycemia treatment -ANSWER✅✅✅"rule of 15" -- glucose < 70, eat 15 g carbs.
wait 15 mins, retest
4 glucose tablets
1 glucose shot
4 oz fruit juice or regular soda
4 sandwich crackers
6-7 hard candies
1/2 banana or apple
1 tbsp sugar or honey
8 oz milk
insulin and monitoring devices -ANSWER✅✅✅glucometer
syringe
pen (rx only)
continuous glucose monitors (CGMs)
pump (rx only)
otc continuous glucose monitor (Dexcom Stelo) -ANSWER✅✅✅must be >= 18 yrs old
not on insulin
no history of problematic hypoglycemia
for retinopathy prevention... -ANSWER✅✅✅annual (dilated) eye exams
dental care? -ANSWER✅✅✅see dentists every 6 months, 12 months if no teeth
brush and floss teeth bid
Diabetes/HTN
presentation -ANSWER✅✅✅polydypsia, polyuria, polyphagia
unexplained weight loss
nonrx therapies -ANSWER✅✅✅monitoring, hypoglycemic treatment, medical nutrition
therapy (MNT), eye care, dental care, skin care, foot care, medication adherence, sick
day management, insulin therapy, tobacco cessation, immunizations
glycemic index % -ANSWER✅✅✅how much a carb will increase blood glucose
medical nutrition therapy (MNT) -ANSWER✅✅✅
hypoglycemia treatment -ANSWER✅✅✅"rule of 15" -- glucose < 70, eat 15 g carbs.
wait 15 mins, retest
4 glucose tablets
1 glucose shot
4 oz fruit juice or regular soda
4 sandwich crackers
6-7 hard candies
1/2 banana or apple
1 tbsp sugar or honey
8 oz milk
insulin and monitoring devices -ANSWER✅✅✅glucometer
syringe
pen (rx only)
continuous glucose monitors (CGMs)
pump (rx only)
otc continuous glucose monitor (Dexcom Stelo) -ANSWER✅✅✅must be >= 18 yrs old
not on insulin
no history of problematic hypoglycemia
for retinopathy prevention... -ANSWER✅✅✅annual (dilated) eye exams
dental care? -ANSWER✅✅✅see dentists every 6 months, 12 months if no teeth
brush and floss teeth bid
